Report detailing practices of the BIA and recommending that health care he urovided hv urofessionals Some of the key events leading to the creation of the Indian Health Service system as we know it are displayed in Table Prior to 1849, military clinicians provided health care services to members of federally recognized American Indian tribes under treaty and trustee obligations between the federal government and individual tribes. In 1849 the Bureau of Indian Affairs (BIA) , the agency charged with providing these services, was moved from the War Department to the Department of the Interior (DOI). The BIA was funded by Congress, which was supported by powerful constituents interested in obtain-
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Alyce S. Adams (2000) studied this question.